Authors :
John Peter Ndikubwimana; Jean Baptiste Ukwizabigira; Dr. Mourice B. Silali
Volume/Issue :
Volume 9 - 2024, Issue 11 - November
Google Scholar :
https://tinyurl.com/4ds2zfdf
Scribd :
https://tinyurl.com/2h9r7x5z
DOI :
https://doi.org/10.5281/zenodo.14608180
Abstract :
This study investigates the biomedical factors
during pregnancy attributed to the development of
schizophrenia at Rwinkwavu District Hospital, Rwanda.
Utilizing a descriptive cross-sectional design, the research
aimed to identify potential pregnancy-related factors
influencing the onset of schizophrenia from June 2023 to
June 2024. The sample consisted of 312 patients diagnosed
with mental disorders, focusing on those with
schizophrenia. Data collection involved reviewing patient
files, registers, and electronic medical records to capture
demographic details, genetic predispositions, and
pregnancy complications. Quantitative data analysis was
performed using SPSS version 27, employing both
descriptive and inferential statistics to assess associations
between identified biomedical factors and schizophrenia.
Additionally, qualitative data from Key Informant
Interviews (KIIs) and Focus Group Discussions (FGDs)
provided deeper insights into the influence of maternal
health, nutritional deficiencies, and prenatal care on the
risk of developing schizophrenia. The results highlighted
a significant correlation between genetic predispositions
and pregnancy-related complications with increased
schizophrenia risk. Ethical considerations included
informed consent, confidentiality, and approval from the
relevant ethics committees (Mount Kenya University)
school of post graduate and Rwinkwavu Hospital
Research commute. This study underscores the
importance of addressing prenatal care and genetic
counseling to mitigate the risks associated with
schizophrenia development during pregnancy.
Keywords :
Biomedical Factors, Pregnancy, Disorders, Genetic Predisposition, Nutrition.
References :
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- Buka, S. L., Goldstein, J. M., Seidman, L. J., & Tsuang, M. T. (2019). Maternal risk factors for schizophrenia: A systematic review and meta-analysis. Schizophrenia Research, 215, 483-490. https://doi.org/10.1016/j.schres.2019.03.028
- Firth, J., Carney, R., Stubbs, B., Teasdale, S., Vancampfort, D., Ward, P. B., & Sarris, J. (2020). Nutritional deficiencies and clinical correlates in first-episode psychosis: A systematic review and meta-analysis. Schizophrenia Bulletin, 46(4), 752-761. https://doi.org/10.1093/schbul/sbz085
- Hilker, R., Helenius, D., Fagerlund, B., Skytthe, A., Christensen, K., Werge, T., & Nordentoft, M. (2018). Heritability of schizophrenia and schizophrenia spectrum disorders in the population. JAMA Psychiatry, 75(6), 711-718. https://doi.org/10.1001/jamapsychiatry.2018.0223
- Howes, O. D., & Kapur, S. (2015). The dopamine hypothesis of schizophrenia: Version III—the final common pathway. Schizophrenia Bulletin, 41(1), 9-20. https://doi.org/10.1093/schbul/sbu186
- Howes, O. D., McCutcheon, R., Owen, M. J., & Murray, R. M. (2017). The role of genes, stress, and dopamine in the development of schizophrenia. Biological Psychiatry, 81(1), 9-20. https://doi.org/10.1016/j.biopsych.2016.07.014
- Howes, O. D., & Murray, R. M. (2014). Schizophrenia: An integrated sociodevelopmental-cognitive model. The Lancet, 383(9929), 1677-1687. https://doi.org/10.1016/S0140-6736(13)62036-X
- Javitt, D. C., & Zukin, S. R. (2017). Glutamate and schizophrenia: Phencyclidine, N-methyl-D-aspartate receptors, and dopamine-glutamate interactions. Biological Psychiatry, 81(7), 620-628. https://doi.org/10.1016/j.biopsych.2016.07.004
- Marx, W., Moseley, G., Berk, M., & Jacka, F. (2021). Nutritional psychiatry: The present state of the evidence. Proceedings of the Nutrition Society, 80(1), 1-16. https://doi.org/10.1017/S0029665120007108
- McGrath, J. J., Saha, S., Al-Hamzawi, A., & Alonso, J. (2020). Psychotic experiences and the prediction of psychiatric disorders: A review of population-based studies. Schizophrenia Bulletin, 46(2), 241-252. https://doi.org/10.1093/schbul/sbz071
- Owen, M. J., Sawa, A., & Mortensen, P. B. (2016). Schizophrenia. The Lancet, 388(10039), 86-97. https://doi.org/10.1016/S0140-6736(15)01121-6
- Ripke, S., Walters, J. T., & O'Donovan, M. C. (2020). Mapping genomic loci prioritizes genes and implicates synaptic biology in schizophrenia. Nature Genetics, 52(8), 861-868. https://doi.org/10.1038/s41588-020-0670-4
- Seeman, P. (2014). Dopamine D2 receptors as treatment targets in schizophrenia. Clinical Schizophrenia & Related Psychoses, 8(1), 16-19. https://doi.org/10.3371/CSRP.8.1.13
- Severance, E. G., Gressitt, K. L., Stallings, C. R., Katsafanas, E., Schweinfurth, L. A., Savage, C. L., & Yolken, R. H. (2016). Probiotic normalization of Candida albicans in schizophrenia: A randomized, placebo-controlled, double-blind, pilot study. Schizophrenia Research, 168(1-2), 634-643. https://doi.org/10.1016/j.schres.2015.07.045
- Sullivan, P. F., Kendler, K. S., & Neale, M. C. (2023). Genetic epidemiology of schizophrenia. Journal of Psychiatric Research, 152, 301-312. https://doi.org/10.1016/j.jpsychires.2023.03.012
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This study investigates the biomedical factors
during pregnancy attributed to the development of
schizophrenia at Rwinkwavu District Hospital, Rwanda.
Utilizing a descriptive cross-sectional design, the research
aimed to identify potential pregnancy-related factors
influencing the onset of schizophrenia from June 2023 to
June 2024. The sample consisted of 312 patients diagnosed
with mental disorders, focusing on those with
schizophrenia. Data collection involved reviewing patient
files, registers, and electronic medical records to capture
demographic details, genetic predispositions, and
pregnancy complications. Quantitative data analysis was
performed using SPSS version 27, employing both
descriptive and inferential statistics to assess associations
between identified biomedical factors and schizophrenia.
Additionally, qualitative data from Key Informant
Interviews (KIIs) and Focus Group Discussions (FGDs)
provided deeper insights into the influence of maternal
health, nutritional deficiencies, and prenatal care on the
risk of developing schizophrenia. The results highlighted
a significant correlation between genetic predispositions
and pregnancy-related complications with increased
schizophrenia risk. Ethical considerations included
informed consent, confidentiality, and approval from the
relevant ethics committees (Mount Kenya University)
school of post graduate and Rwinkwavu Hospital
Research commute. This study underscores the
importance of addressing prenatal care and genetic
counseling to mitigate the risks associated with
schizophrenia development during pregnancy.
Keywords :
Biomedical Factors, Pregnancy, Disorders, Genetic Predisposition, Nutrition.